Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sanford Clinic

Sanford Clinic was paid $5.45M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99480, Subsequent intensive care, per day, low birth weight infant — 15% of everything it billed.

33Billing provider infoSANFORD CLINIC
SIOUX FALLS, SD 57105
33aNPI1881610889assigned 07/14/2006
33bProvider typePh.D. Medical Genetics
28Total paid$5.45M
24GClaims69,736
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201829,824$2.32M
201928,986$2.64M
20202,006$83K
20213,606$154K
20222,745$120K
20231,268$55K
2024incomplete1,301$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99480 Subsequent intensive care, per day, low birth weight infant 15% 4,508 549 $806K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11% 10,233 8,411 $589K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 11% 1,506 175 $588K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 10% 1,601 139 $555K
99479 Subsequent intensive care, per day, very low birth weight infant 6.4% 2,756 257 $348K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.1% 8,862 7,811 $335K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.2% 5,236 1,190 $228K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.8% 1,775 1,532 $150K
99468 2.6% 185 153 $144K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.5% 2,264 570 $134K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.2% 1,546 1,475 $118K
99222 Initial hospital care, per day, moderate complexity 2.1% 1,355 1,055 $113K
50 more codes
93325 2.0% 3,315 $108K
99203 Doctor's office visit, new patient (routine) 2.0% 1,703 $107K
99204 Doctor's office visit, new patient (more involved) 1.8% 1,163 $99K
99238 Hospital discharge day management, 30 minutes or less 1.8% 1,869 $97K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 1,146 $97K
99244 Office or other outpatient consultation, moderate to high complexity 1.6% 778 $86K
99254 1.3% 687 $73K
99477 1.3% 230 $72K
93304 1.1% 1,342 $58K
99205 Prolong outpt/office vis <1% 481 $52K
99223 Prolong inpt eval add15 m <1% 424 $46K
93320 <1% 1,565 $45K
99253 <1% 542 $43K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,141 $36K
99239 Hospital discharge day management, more than 30 minutes <1% 503 $33K
96409 <1% 343 $32K
94010 <1% 1,233 $28K
93321 <1% 1,613 $24K
43762 <1% 145 $24K
99471 <1% 48 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,729 $15K
43760 <1% 95 $15K
54150 <1% 94 $13K
99354 <1% 193 $12K
92526 <1% 208 $11K
93000 <1% 551 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 831 $11K
J9370 Vincristine sulfate, 1 mg <1% 363 $8K
94060 <1% 167 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 44 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 250 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 579 $6K
96111 <1% 55 $5K
94664 <1% 413 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 412 $4K
90837 Psychotherapy session, about an hour <1% 48 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 138 $3K
99217 <1% 70 $3K
99464 <1% 34 $2K
95819 <1% 25 $2K
36416 <1% 522 $2K
99417 Prolong home eval add 15m <1% 15 $2K
95812 <1% 15 $1K
99219 <1% 20 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 22 $911.41
93227 <1% 41 $736.38
96375 Therapeutic injection; each additional sequential IV push <1% 22 $442.42
96127 <1% 54 $352.67
90686 <1% 388 $256.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 240 $27.25

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
Same official

Other billing entities under MORRISON, TONY

Full network →
ProviderLocationPaid
Sanford Medical Center FargoFargo, ND$50.18M
Sanford Health of Northern MinnesotaBemidji, MN$47.45M
Sanford BismarckBismarck, ND$43.96M
Sanford Health of Northern MinnesotaBemidji, MN$27.11M
Sanford Medical CenterSioux Falls, SD$24.40M
FM Ambulance Service, INCFargo, ND$23.80M
Sanford Medical CenterSioux Falls, SD$18.03M
Sanford Health NetworkWorthington, MN$7.58M
Sanford ClinicSioux Falls, SD$6.04M
Sanford Healthcare Accessories, LLCFargo, ND$4.79M
Sanford Health Network NorthThief River Falls, MN$3.28M
Sanford ClinicSioux Falls, SD$2.96M
Sanford Health NetworkJackson, MN$2.81M
Sanford ClinicWatertown, SD$2.02M
Black Hills Orthopedic & Spine Center, INC.Rapid City, SD$1.71M
Sanford Health NetworkChamberlain, SD$1.47M
Sanford Health NetworkVermillion, SD$1.31M
Sanford Health NetworkLuverne, MN$1.27M
Sanford Medical Center FargoPelican Rapids, MN$1.01M
Sanford Medical Center FargoMahnomen, MN$994K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.